I am 45, and a few years ago I noticed marionette lines and now they are getting more noticeable. I have had Artefill injected a few years ago and noticed very little change. I also had Juvederm Ultra injected more recently and noticed hardly any change. I am hoping a lower face lift with fat transfer to the lines will make a more dramatic change. What is actually the best procedure for my problem?
October 22, 2018
Answer: Best Procedure for Deep Marionette Lines I would definitely include some volumizing procedure (fillers or fat) to correct your midface and lower face deficiency. A midface lift would also be beneficial to correct the nasolabials and Marionettes; since the periorbital deformities can be assessed through the same approach. In addition, for patients who do not want surgery, fillers in addition to skin tightening procedures (such as needle RF) give good results specially when it comes to younger patients. My best option however would be a lower facelift (composite) combined with fat injections. This is one of the most effective and long lasting procedure that you can have. Hope this helps, Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey
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October 22, 2018
Answer: Best Procedure for Deep Marionette Lines I would definitely include some volumizing procedure (fillers or fat) to correct your midface and lower face deficiency. A midface lift would also be beneficial to correct the nasolabials and Marionettes; since the periorbital deformities can be assessed through the same approach. In addition, for patients who do not want surgery, fillers in addition to skin tightening procedures (such as needle RF) give good results specially when it comes to younger patients. My best option however would be a lower facelift (composite) combined with fat injections. This is one of the most effective and long lasting procedure that you can have. Hope this helps, Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey
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January 24, 2015
Answer: Lower Face Lift and Fat Transfer Thank you for your question about lower face lift.If fillers have failed, then yes, a lower face lift, fat transfer and/or laser resurfacing might be beneficial for you.To be sure, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.I hope this helps.
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January 24, 2015
Answer: Lower Face Lift and Fat Transfer Thank you for your question about lower face lift.If fillers have failed, then yes, a lower face lift, fat transfer and/or laser resurfacing might be beneficial for you.To be sure, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.I hope this helps.
Helpful